Clinical Edge Journal Scan

Severe atopic dermatitis linked with significant overall morbidity


 

Key clinical point: Compared with mild atopic dermatitis (AD), severe AD results in an increased risk for overall morbidity.

Major finding: Patients with severe vs mild AD had a significantly increased risk for other dermatitis, extragenital herpes, urticaria, impetigo, cellulitis, varicella zoster virus, abscess, sepsis, conjunctivitis, alopecia areata, asthma, allergic rhinitis and conjunctivitis, stress-related and somatoform diseases, intervertebral disc disorders, osteoporosis, and lymphomas (all P < .001), as well as condylomas, rosacea, certain psychiatric disorders, migraine, sleep apnea, other sleep disorders, hypertension, atherosclerosis, enthesopathies, and drug-induced cataract (all P < .05). However, patients with moderate or severe vs mild AD had a lower risk for prostate cancer ( P < .05).

Study details: The data come from a retrospective real-world cohort study including 124,038 patients with mild (n = 53,046), moderate (n = 46,296), or severe (n = 24,696) AD.

Disclosures: This study was sponsored by AbbVie. Some authors reported ties, including employment and stock ownership, with AbbVie and others.

Source: Kiiski V et al. Effect of disease severity on comorbid conditions in atopic dermatitis: Nationwide registry-based investigation in Finnish adults. Acta Derm Venereol. 2023;103:adv00882 (Mar 8). Doi: 10.2340/actadv.v103.4447

Recommended Reading

JAK inhibitor safety warnings drawn from rheumatologic data may be misleading in dermatology
MDedge Dermatology
Dupilumab safe and effective in the elderly with moderate-to-severe atopic dermatitis
MDedge Dermatology
Upadacitinib effective for moderate-to-severe atopic dermatitis in daily practice
MDedge Dermatology
Increased prevalence of allergic contact dermatitis in patients with atopic dermatitis
MDedge Dermatology
Study reveals an association between atopic dermatitis and e-cigarette use among US adults
MDedge Dermatology
Pruritus reduction crucial for improving other inflammatory symptoms in nemolizumab-treated atopic dermatitis
MDedge Dermatology
Season of birth influences the risk for atopic dermatitis in early infancy
MDedge Dermatology
Atopic dermatitis is positively linked with the risk for gastroesophageal reflux disease
MDedge Dermatology
Crisaborole improves sleep outcomes in pediatric mild-to-moderate atopic dermatitis
MDedge Dermatology
Skin biomarkers in infants aged 2 months predictive of future atopic dermatitis onset
MDedge Dermatology